Navigating Insurance, Financials & Billing

Almost every plan covers autism therapy, but there are a few exceptions. We will verify this for you as part of the onboarding process.

If your plan does not cover autism therapy, there are options. You may be eligible for a state program or can obtain a plan from the Health Insurance Marketplace. We will help guide you through this.

Yes, Caravel Autism Health accepts Medicaid in many states. We are committed to helping families navigate insurance coverage and billing to ensure seamless access to therapy services. Our staff is available to answer questions and assist in determining how services can be covered for your family.

While Caravel works with most insurance plans and Medicaid, families may still be responsible for certain out-of-pocket expenses, depending on their specific coverage. These can include:

• Deductibles and Co-pays: Insurance plans often require families to pay a portion of the costs through deductibles and co-pays.

If the cost of services poses a financial hardship, we encourage you to discuss this with our billing staff. They are committed to working with parents/guardians to meet the needs of each individual case, and expenses can sometimes be spread over time.

We are here to help. If you are a family already receiving services through Caravel Autism Health, you can call 920-857-9041. If you are not, you can call 800-906-0598.

You can call 920-857-9041 to speak with our Billing Department.

Typically, once all necessary documentation is submitted, insurance providers may take several days to a few weeks to process and approve coverage. However, this timeline can differ, and some cases may require additional information or clarification, which could extend the approval period.

If you have specific questions about your insurance coverage or need assistance, please contact Caravel’s billing department at 920-857-9041. Our team is here to help you navigate the insurance process and ensure you receive the support your child needs.

At Caravel Autism Health, the cost of services varies based on your child’s individual needs, insurance coverage, and the specific services provided. Here’s an overview:

Diagnostic Evaluation

• Insurance Coverage: In most cases, diagnostic evaluations are billed to your insurance provider. Caravel accepts most private insurance plans and often Medicaid. However, coverage can vary, so it’s important to verify your specific plan.
• Out-of-Pocket Costs: Families may be responsible for potential deductibles, co-pays, or co-insurance, depending on their insurance plan. In some states, if you have Medicaid, there may be no charge for the assessment beyond what is reimbursed by Medicaid.
• Financial Assistance: If testing poses a financial hardship, Caravel encourages families to discuss this with the billing department. They are committed to working with parents/guardians to meet the needs of each individual case, and expenses can sometimes be spread over time.

ABA Therapy

• Insurance Coverage: Applied Behavior Analysis (ABA) therapy is typically covered by insurance plans. Caravel works with families to verify benefits and ensure coverage.
• Out-of-Pocket Costs: Depending on your insurance plan, you may be responsible for deductibles, co-pays, or co-insurance. Caravel’s billing team can provide detailed information based on your specific plan.
• Payment Options: Caravel accepts payments via major credit/debit cards (Visa, Mastercard, Amex), checks, and Health Savings Accounts (HSAs) or Flexible Spending Accounts (FSAs).

Next Steps:

To get a personalized estimate and understand your financial responsibilities:

1. Contact Caravel’s Billing Department: Call 920-857-9041 to speak with a billing representative who can provide detailed information based on your insurance plan.
2. Verify Insurance Benefits: Caravel’s team can assist in verifying your insurance benefits and explaining what services are covered.
3. Discuss Financial Assistance: If you anticipate financial challenges, Caravel is committed to working with you to explore payment options and assistance programs.

For more information on insurance and billing, visit Caravel’s Insurance and Billing Support page.

Insurance plays a significant role in determining the accessibility and cost of diagnostic evaluations at Caravel Autism Health. We strive to make the process as straightforward as possible for families by working directly with most private insurance plans and Medicaid.

Before scheduling a diagnostic evaluation, Caravel’s billing team verifies your insurance benefits to determine coverage specifics. In some cases, preauthorization may be required, particularly for specific tests or services. If your insurance necessitates preauthorization, Caravel will coordinate with you to ensure all necessary steps are taken.

You can request a diagnostic evaluation here. A member of Caravel’s team will reach out promptly to review your request and answer any questions. They will help you schedule the diagnostic evaluation, explain the next steps, verify your insurance coverage, perform a parent assessment, and provide guidance so you know what to expect.